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Laxity in Pregnancy is what may be causing you those aches and pains

The Role of the Relaxin Hormone

As discussed previously on the blog, pregnant people undergo some major changes in their bodies, including producing different hormones that play various roles during pregnancy. One hormone that affects the musculoskeletal system in a pregnant person’s body is called relaxin.

Relaxin is a hormone produced by the corpus luteum (an endocrine gland made in the ovary when a follicle has matured and released an egg during ovulation) and the placenta (an organ developed in the uterus during pregnancy that provides oxygen and nutrients to your baby). Relaxin inhibits uterine activity and helps relax the pelvic joints so your hips can widen in preparation for birth. Relaxin peaks during the first trimester. However, relaxin can also contribute to laxity in other areas of the body during pregnancy, not just the pelvis.

What is laxity and how it affects the pregnant body

When one becomes pregnant, joint laxity from relaxin begins around six weeks of pregnancy and becomes more noticeable by week 12. The main area of laxity is centered in the pelvis, which is how the body begins to prepare for birth. In particular, the main joints of the pelvis- the pubic symphysis and the sacro-iliac joints are affected, which cause pelvic pain including pubic symphysis pain and SI joint pain.

Other areas of the body may be affected from joint laxity from relaxin, including the shoulders, hips, spine, as well as the feet and ankles. Pain can be more apparent in people who have underlying orthopedic issues before pregnancy, those who lack muscular strength before pregnancy, and those who have underlying hypermobility issues.

What you can do about laxity while pregnant

Strengthen and Stabilize

You can’t stop the body from creating and releasing relaxin during pregnancy, however you can strengthen and stabilize the body through exercise to support your joints.

Check out this pregnancy exercise program published by Heather Jeffcoat, DPT in the Journal of Childbirth Education.

Avoid overstretching

While stretching the back, glutes, hips, and legs can be beneficial for back and pelvic pain during pregnancy, be careful not to overstretch joints, please consult with a physical therapist in order to determine if you are stretching too much.

See a Pelvic Floor physical therapist

A trained pelvic floor PT will help you determine safe stability and strengthening exercises for you to do during pregnancy, contact Femina PT for more information and to schedule today.

References:

https://www.britannica.com/science/corpus-luteum

https://www.hopkinsmedicine.org/health/conditions-and-diseases/staying-healthy-during-pregnancy/hormones-during-pregnancy

https://www.hormone.org

Irion, J. M. (2013). Womens health in physical therapy. La Vergne, TN: Cram101, Inc.

https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/placenta/art-20044425

**This information is for educational purposes only and is not intended to replace the advice of your doctor.

What Our Patients Have to Say

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Testimonial by A.M.

Months after giving birth, it was difficult for me to go from a sitting or lying position up to a full standing position without feeling that I had to remain hunched over until a bit of time had passed to get fully upright. However, after taking Heather’s course, I learned exercises to get my body back to normal. She also showed me correct ways to lift and carry my son as well as put him in/take him out of the carseat and stroller. This class was really beneficial and Heather is a wonderful teacher who made me feel very comfortable.

-- A.M.

Testimonial by M.N., age 28

A personal journey and testimonial from one of my patients:

I was diagnosed with vaginismus 4 years ago. I never heard of such medical condition until after I got married. At first my husband and I didn't know what to do, we didn't know what the issues were or how to overcome it. Being born and raised in Armenia and being Christian I wasn't that open about talking to sex with others and so it wasn't easy to seek help. But eventually I went to an Ob-Gyn and luckily she knew about the medical condition (not many doctors know). She referred me to a physical therapist and I couldn't believe it and thought it's something I can handle myself. I ordered a kit from vaginismus.com and started practicing with dilators. There was some small progress but wasn't much helpful.

Read more: Testimonial by M.N., age 28

Testimonial by T.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

-- T.C.

Testimonial by A.M.

Months after giving birth, it was difficult for me to go from a sitting or lying position up to a full standing position without feeling that I had to remain hunched over until a bit of time had passed to get fully upright. However, after taking Heather’s course, I learned exercises to get my body back to normal. She also showed me correct ways to lift and carry my son as well as put him in/take him out of the carseat and stroller. This class was really beneficial and Heather is a wonderful teacher who made me feel very comfortable.

-- A.M.

Testimonial by J.H.

My last appointment with Heather was over 6 years ago but I still think of her every day. I don’t take for granted that I can easily get out of bed, care for my two active and busy young boys, run, play tennis, clean my house, or sit at a desk for several hours at a time. None of these tasks were easy for me before meeting Heather. Eight years ago my car was struck from behind by a tractor trailer that was estimated to have been speeding. I spent 3 years working with different PTs and Drs trying to heal and move on with my life. When I became pregnant and the hormone relaxin that “relaxes” all the joints of the body and the additional weight gain erased all my progress and I was suddenly in a lot of pain again. My OB sent me to Heather for one last try.

Read more: Testimonial by J.H.

Testimonial by Carolina J.

I had tried Pelvic Floor Physical Therapy before (with another PT) and I had a really bad (painful) experience. A friend of mine and fellow patient, told me about Heather, Laureen and Femina PT (née Fusion Wellness & Physical Therapy) and I decided to try again. I am so happy I did! Femina PT have, literally, changed my life. I was able to do again things I couldn't do for over 10 years!! Their bedside manners are impeccable, their knowledge and understanding make me feel comfortable to recommend this place to anyone in pain. Specially if you have Endometriosis. 100% recommended!!

-- Carolina J., 12/28/16 via Yelp!

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